| NPI | 1336562321 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK STEVEN GAWEL President 260-485-7007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: IN 0132993023) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: IN 0132993023) |
| 332BD1200X Durable Medical Equipment & Medical Supplies Dialysis Equipment & Supplies (Licence: IN 0132993023) | |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies (Licence: IN 0132993023) | |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: IN 0132993023) | |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2018-06-20 |